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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0503297
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BILLING_PRE 2019
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Entry Properties
Last modified
3/3/2021 10:51:15 PM
Creation date
11/5/2018 12:11:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0503297
PE
2333
FACILITY_ID
FA0005772
FACILITY_NAME
RASPO FARMING COMPANY
STREET_NUMBER
33550
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25506052
CURRENT_STATUS
02
SITE_LOCATION
33550 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BIRD\33550\PR0503297\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
12/30/2011 8:00:00 AM
QuestysRecordID
109508
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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STATE ID NUMBER 00000060404002 <br /> CONTAINER CONSTRUCTION <br /> E. ( I 01 RUBBER LINED ( ) 02 ALKYD LINING ( ) 03 EPDXY LINING ( ) 04 PHENOLIC LINING ( ) 05 GLASS LINING <br /> ( ) 07 UNLINED (X) 08 UNKNOWN ( ) 09 OTHER! <br /> F. ( 1 01 POLYETHLENE WRAP ( l 02 VINYL WRAPPING ( 1 03 CATHODIC PROTECTION fX) 04 UNKNOWN ( l 05 NONE <br /> f 1 06 TAR OR ASPHALT ( 1 09 OTHER! <br /> VI PIPING <br /> A. ABOVEGROUND PIPING! f ) 01 DOUBLE-WALLED PIPE ( 1 02 CONCRETE-LINED TRENCH ( ) 03 GRAVITY <br /> (CHECK APPROPRIATE BOX(ES) ( ) 04 PRESSURE ( ) 05 SUCTION ( ) 06 UNKNOWN ( ) 07 NONE <br /> B. UNDERGROUND PIPING! ( ) 01 DOUBLE-WALLED PIPE ( ) 02 CONCRETE-LINED TRENCH ( ) 03 GRAVITY <br /> (CHECK APPROPRIATE BOX(ES) ( ) 04 PRESSURE ( 1 05 SUCTION ( 1 06 UNKNOWN f 1 07 NONE <br /> VII LEAK DETECTION <br /> l I Ol VISUAL ( 1 02 STOCK INVENTORY ( ) 04 VAPOR SNIFF WELLS ( ) 05 SENSOR INSTRUMENT <br /> ( ) 06 GROUND WATER MONITORING WELLS f ) 07 PRESSURE TEST (X) 09 NONE ( ) 10 OTHER, <br /> VIII CHEMICAL COMPOSITION OF MATERIALS STORED IN UNDERGROUND CONTAINERS <br /> :F YOU CHECKED YES TO IV-F YOU ARE NOT REQUIRED TO COMPLETE THIS SECTION <br /> CURRENTLY PREVIOUSLY DELETE CAS# (IF KNOWN) CHEMICAL (DO NOT USE COMMERCIAL NAME) <br /> STORED STORED <br /> ( ) 01 f 7 02 ( ) 03 <br /> ( 101 ( 1 02 ( ) 03 <br /> ( I Ol f 1 02 ( ) 03 <br /> [ 1 Ol f 1 02 f ) 03 <br /> ( 1 <br /> 01 f 1 02 ( ) 03 <br /> ( ) <br /> 01 ( 1 02 ( ) 03 <br /> I ) 01 f ) 02 f ) 03 <br /> ( ) <br /> 01 ( 7 02 ( ) 03 <br /> f l 01 f l 02 ( ) 03 <br /> ( I Ol ( 1 02 f 1 03 <br /> ■ CHECK STATE BOARD CHEMICAL CODE LISTING FOR POSSIBLE SYNONYMS <br /> IS CONTAINER LOCATED ON AN AGRICULTURAL FARM? ( 1 01 YES (X) 02 NO <br /> THIS FORM HAS BEEN COMPLETED UNDER THE PENALTY OF PERJURY AND, TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. <br /> PERSON FILING (SIGNATURE) PHONE W/AREA CODE <br /> FOR LOCAL AGENCY USE ONLY <br /> ADMINISTPATINO AGENCY CITY CODE COUNTY CODE <br /> CONTACT PERSON PHONE W/APEA CODE <br /> DATE OF LAST INSPECTION IN COMPLIANCE PERMIT APPROVAL DATE TRANSACTION DATE LOCAL PERMIT IO # <br /> [ ) 01 YES ( I 02 NO <br /> HSC04-070185 (10/18/85) PAGE 2 <br />
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